Organization
ALTERNATIVES FOR LIFE
Active
Other names
A Full Life Agency
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D GROSS (PRESIDENT)
(208) 762-5433
Entity
Organization
Contact information
Practice address
8601 W EMERALD ST STE 100, BOISE, ID 83704-8209
(208) 342-1222
(208) 375-5449
Mailing address
9297 N GOVERNMENT WAY STE C, HAYDEN, ID 83835-9290
(208) 762-5433
(208) 209-0007
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10050096
—
NV
Enumeration date
11/01/2006
Last updated
08/22/2020
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